ktwlpn

ktwlpn LPN

LTC,Hospice/palliative care,acute care

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All Content by ktwlpn

  1. Problem with coworker (long)

    ktwlpn replied to Elektra6's topic in Geriatric, LTC

    I feel you-I've worked with plenty of staff like this nurse.Bottom line-"There are no victims-only volunteers".He is getting away with so much because you aren't standing up for yourself.Go to your...

  2. sprchpmnk LPN

    ktwlpn replied to sprchpmnk's topic in General Nursing

    I have a question-do you mean that you would pull meds for several patients at a time including their narcs? What exactly are the terms of your probation? Are you on probation for pre-pouring meds?...

  3. "Don't Send Anyone Out!"

    ktwlpn replied to TheCommuter's topic in Geriatric, LTC

    I would keep calling the physician whenever the resident's condition warranted...As for the "gomers" they deserve comfort and dignity....I work in LTC. We do not have on-site emergency services of any...

  4. Geri-psych?

    ktwlpn replied to PeachPie's topic in Geriatric, LTC

    Our DON has refused admission a few times.Recently we have had 4 residents with major behavioral problems and often had to resort to 1:1 to keep everyone safe until we could get their meds tweaked or...

  5. ANOTHER new CMS guideline

    ktwlpn replied to CapeCodMermaid's topic in LTC: Directors, Assistant

    That is exactly what we got dinged for,also someone in the kitchen was working on the tray line and left it to get something out of the fridge and did not change gloves. Nursing got lightly spanked...

  6. Help*please* co-worker lying blaming me for her possible mistake

    ktwlpn replied to MarsMe's topic in General Nursing

    I would not count her as a friend.She just needs to shut up-the nurse on the other end is the one with the problem,IMHO...I don't think you need to worry.It really does not sound like anyone has...

  7. Nurses in a doctors office frustrated me today, am I out of line?

    ktwlpn replied to ShayRN's topic in General Nursing

    You'll never know if the nurse really put the note on the chart or not...I think I would be upset also but I would have been a bit more pro-active.I think when I interviewed for the new job I would...

  8. Can I take a "NON-Smoking" break please?

    ktwlpn replied to Luvbuble's topic in General Nursing

    We all know that those numerous quick smoke breaks often add up to more then the alloted break times-and that causes the problems.Our managment in our LTC has lately realized this is going on (the...

  9. questions about lung ca 3B

    ktwlpn replied to fp nurse's topic in Oncology

    I'm sorry about your FIL---there are numerous sites you can access with lung cancer staging info.The National Cancer Institute ,American Cancer Society,The Oncology channel are all good sites.....You...

  10. Agnostic/Athiest Beliefs and Comforting a Dying Patient

    ktwlpn replied to HisDaughterJeanne's topic in General Nursing

    i'll put you on my "friends" list,ok? you'll at least have one kidding aside-the best you can do is make some calls and make sure the appropriate religious affiliate gets to the person's bedside...

  11. How hard is it to get Mom into a nursing home?

    ktwlpn replied to Blackcat99's topic in Geriatric, LTC

    The waiver program is great-it's fairly new and the funds are limited but it's worth looking into.The medicare.gov site is very informative if you are narrowing your choices down-the info available is...

  12. That ain't my resident! I am dumbfounded...

    ktwlpn replied to lovingtheunloved's topic in General Nursing

    yes yes yes!!!! my facilty has policy and procedures books out the ying yang-every so often the don has to send a memo around to remind the staff of our "pull" policy.....we often get new staff that...

  13. medicare policy in LTC

    ktwlpn replied to fuzzball's topic in Geriatric, LTC

    if you work in a private facility with a limited number of medicare certified beds no one ever seems to know what's going on.add in your hmo's ppo's and various plans and it's a nightmare..i work in a...

  14. Please help - I need to make a decision!

    ktwlpn replied to bizeemonkey's topic in California Nursing

    ohh I wish I had your problem......If the pros/cons of the jobs are cancelling each other out why not check out lodging and activities and such? Craig's list is a good site for real estate all around...

  15. She's a great nurse but she's driving me crazy

    ktwlpn replied to not now's topic in General Nursing

    Excellent advice ....She sounds like a bit of a bully to me.Baloney on the whole "she runs the floor like it's an ICU" crap...She's controlling.I've worked "team" nursing in acute care with all kinds...

  16. So frustrated...co-worker stealing drugs.

    ktwlpn replied to ND76's topic in General Nursing

    so true-You are hurt because of your friend/co-workers behavior and the response of admin....Not an easy place to be in...just remember that this person needs HELP-getting caught will put her on that...

  17. Violent Sex Offender on our unit (long)...

    ktwlpn replied to SheriLynnRN's topic in General Nursing

    that's a tough one-imho every other patient on that unit has the right to know he is there.it is a matter of public record so i don't see how it is a violation of his privacy. i would think your nurse...

  18. How long is too long....dead body

    ktwlpn replied to Jack39's topic in General Nursing

    My thoughts---In a perfect world every hospital and nursing home would have all private rooms....I've been involved in numerous situations like this both in acute and long term care.It's hard to...

  19. regarding borderline patients

    ktwlpn replied to hsieh's topic in Psychiatric

    Again-BPD is NOT a developmental disorder-so "going to Africa" won't fix it.....It does not matter who is more "emotionally or spiritually developed" I doubt that the poor folks in this country are...

  20. Celebratory Tattoo?

    ktwlpn replied to ortess1971's topic in First Year After Licensure

    Here is some interesting stuff------(more then you ever wanted to know,I bet.)I do think it would make an awesome tat-it's a good choice.....................................................A caduceus...

  21. regarding borderline patients

    ktwlpn replied to hsieh's topic in Psychiatric

    I'm so thankful I'm in America where we treat mental disorders like the diseases they truly are.....I was also NOT aware that Africa is on the cutting edge of medical technology according to the...

  22. Another "OMG i can't believe you did that!" family member story

    ktwlpn replied to HappyNurse2005's topic in General Nursing

    OK-I've got one...Imagine being the nurse that catches a male visitor sexually molesting a female patient? ....It was a late stage Alzheimer's gal-in a geri chair recliner .....His loved one was in...

  23. PICCs in LTC

    ktwlpn replied to CritterLover's topic in Geriatric, LTC

    I've never seen a PICC "fall out" or be pulled out by careless staff...I have had many a demented resident pull them out....In my experience if it's out of sight it's out of mind.....I generally wrap...

  24. Survey begins

    ktwlpn replied to ktwlpn's topic in Geriatric, LTC

    We had the exit interview today and I'll find out the details tomorrow....As for calling every one in when the company showed up-they were in on Sunday but not Saturday.The administrator came in for...

  25. What if you don't feel compassionate enough to be a nurse?

    ktwlpn replied to hs2005's topic in General Nursing

    If I'm the patient I'll take competence over "warm and fuzzy" any